# BIOGNOMICS LAB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700466745
- **Authorized official:** ALVIN VELARDE (OWNER/CHIEF OPERATING OFFICER)
- **Authorized official phone:** (949) 677-7101

## Contact information

- **Practice address:** 16485 LAGUNA CANYON RD STE 125, IRVINE, CA 92618-3837
- **Practice address phone:** (949) 932-0966
- **Mailing address:** 16485 LAGUNA CANYON RD STE 125, IRVINE, CA 92618-3837
- **Mailing address phone:** (949) 932-0966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | NULL | Yes |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2021
- **Last updated:** 04/14/2021